Active NPI
Danlee Quinlivan, PTA
- Physical Medicine & Rehabilitation Physician
- Ridgeland, MS
National Provider Identifier
1629368212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PTA4045
- Practice address
- 711 Avignon Dr
Ridgeland, MS 39157-5120 - Phone
- (601) 605-6777
- NPI assigned
- Apr 15, 2011
- Last updated
- Apr 15, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PTA4045 | MS | Primary |
Addresses
Primary practice location
711 Avignon Dr
Ridgeland, MS 39157-5120
Mailing address
4005 Chamberlain Ave
Gulfport, MS 39507-3914
Phone (251) 753-9159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA4045 | MS | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1629368212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4005 CHAMBERLAIN AVE",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395073914",
"telephone_number": "251-753-9159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 AVIGNON DR",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391575120",
"telephone_number": "601-605-6777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINLIVAN",
"first_name": "DANLEE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-15",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MS",
"license": "PTA4045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgeland, MS
- Quad Intermed Company LLC (MEA Cares)
- Quality Home Oxygen, Inc.
- Quality Med Screens, LLC
- David Allen Quin, LPC
- Quincy M Bennett (Central MS Speech & Hearing)
- Quinn Healthcare,PLLC
- Princess Kathleene Quinn, BCCS
- Timothy Michael Quinn, MD
- Hina Naseem Qureshi, MD
- R & E Pharmacies, Inc (Choice Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.